摘要
目的评估椎管后壁切除术治疗长节段胸椎后纵韧带骨化症（OPLL）的疗效。方法2005年6月至2010年10月郑州大学第一附属医院骨科采用椎管后壁切除术治疗长节段胸椎OPLL10例。其中6例合并胸椎黄韧带骨化（OLF）。结果10例全部获得随访，平均随访时间28个月（3个月-4年），1例术后发生脑脊液漏，经综合保守治疗后痊愈。按照改良JOA评分法，1例无改善，余9例脊髓功能均得到不同程度改善，平均改善率为72．1％（37．5％-100％）。结论胸椎OPLL多合并OLF，临床表现复杂。椎管后壁切除术是治疗长节段胸椎OPLL的一种安全、有效、可行的手术方式。
Objective To evaluate the effect of removal of posterial wall of spinal canal on long segment of ossification of posterior longitudinal ligament （OPLL） of thoracic spine. Methods From June 2005 to October 2010, 10 patients with long segment of thoracic OPLL were treated with removal of posterior wall of spinal canal. Six cases were combined with thoracic ossification of ligamentum flavum （OLF）. Results Ten cases were followed-up. The mean follow-up period was 28 months （ranging from 3 months to 4 years ）. Postoperative cerebrospinal fluid leakage occured in 1 case, and the case was cured conservatively. According to the modified JOA scores, 1 case was unchanged, 9 cases achieved neural improvement, the mean improvement rate was 72. 1% （37.5% - 100% ）. Conclusions It is frequent that thoracic OPLL combined with OLF, and the clinical features are very complex. Removal of posterior wall of spinal canal is safe, effective and feasible to treat long segment of thoracic OPLL.
出处
《中国实用医刊》
2012年第5期41-43,共3页
Chinese Journal of Practical Medicine
关键词
胸椎
后纵韧带骨化
椎管后壁切除术
Thoracic vertebrae
Ossification of posterior longitudinal ligament
Removal of posterior wall of spinal canal
